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NPI Code Detail

MEDICARE: DARLENE RUTH CROOK APRN

MEDICARE: DARLENE RUTH CROOK APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner4704385962MI
2363LA2100XAcute Care Nurse PractitionerAPRN11002771FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477101590
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARLENE RUTH CROOK APRN
Provider Business Mailing Address
First Line : 26901 BEAUMONT BLVD # 3D
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48033-3849
Country : US
Telephone Number : 947-522-1952
Fax Number : 947-522-0307
Provider Business Practice Location Address
First Line : 3601 W 13 MILE RD
Second Line :
City : ROYAL OAK
State : MI
Zip : 48073-6712
Country : US
Telephone Number : 248-898-1994
Fax Number : 248-898-0015
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2019
Last Update Date : 06/01/2026

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